Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
MINUTES - 10172006 - C.15
r 5E L TO: BOARD OF SUPERVISORS, AS GOVERNING BOARD :_ � �_`,•, Contra OF THE BLACKHAWK GEOLOGICAL HAZARD ABATEMENT DISTRICT xCosta t a , :,1 • - ,z V vs a� kOC FROM: MAURICE M. SHTU, PUBLIC WORKS DIRECTOR County rA coux� DATE: October 17, 2006 I SUBJECT: RATIFY the decision of the Blackhawk Geologic Hazard Abatement District (GHAD) General Manager to execute a contract with Condon-Johnson Associates, Inc. in the amount of$758,164 for the stabilization of the landslide located on the north slope below Eagle Ridge Place within the properties of 81 and 60 Eagle Ridge Place and AUTHORIZE the Blackhawk GHAD General Manager to execute contract change orders as may be required up to 10% of the contract, Danville area. (Blackhawk GHAD Funds) (District III) Project No. 7760-6X5147 SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDED ACTION: RATIFY the decision of the Blackhawk Geologic Hazard Abatement District(GHAD)General Manager to execute a contract with Condon-Johnson Associates, Inc. in the amount of$758,164 for the stabilization of the landslide located on the north slope below Eagle Ridge Place within the properties of 81 and 60 Eagle Ridge Place and AUTHORIZE the Blackhawk GHAD General Manager to execute contract change orders as may be required up to 10% of the contract. CONTINUED ON ATTACHMENT: ❑x SIGNATURE: RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVE OTHER SIGNATURE(S): /'6q_ �t 41L� ACTION OF BOAR 0 (_lC ,V b!f �a 62-00 9 APPROVED AS RECOMMENDED OTHER VOTED SUPERVISORS: IHEREBY CERTIFY THAT THIS ISATRUE AND CORRECT /� COPY OF AN ACTION TAKEN AND ENTERED ON UNANIMOUS(ABSENT /' 0F7fi ) MINUTES OF THE BOARD OF SUPERVISORS ON THE AYES: NOES: DATE SHOWN. ABSENT: ABSTAIN: Contact: Eric Whan 313-2242 /�,p�J -/ � �l :sj &7d, ®hPiY 1 °�v`e G:\SpDist\Board Orders 2006-Board Orders\10-17-06 BO Condon-Johnson ATTESTED / Blackhawk.doc JOHN CULLEN, CLERK OF THE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR cc: County Administrator County Counsel Assessor Auditor-Controller BY: DEPUTY E.Doter,Special Districts Kleinfelder,Inc. " SUBJECT: RATIFY the decision of the Blackhawk Geologic Hazard Abatement District (GHAD) General Manager to execute a contract with Condon-Johnson Associates, Inc. in the amount of$758,164 for the stabilization of the landslide located on the north slope below Eagle Ridge Place within the properties of 81 and 60 Eagle Ridge Place and AUTHORIZE the Blackhawk GHAD General Manager to execute contract change orders as may be required up to 10% of the contract, Danville area. (Blackhawk GHAD Funds) (District III) Project No. 7760-6X5147 DATE: October 17, 2006 PAGE: 2 of 2 FISCAL IMPACT: There is no impact to the County General Fund. All costs will be paid for by Blackhawk GHAD. REASONS FOR RECOMMENDATIONS AND BACKGROUND: In March 2006, a massive landslide reactivated below Eagle Ridge Place. The 300 foot wide landslide extended 750 feet downslope across the GHAD boundary into the Mt. Diablo State Park lands. The landslide threatens to undermine the roadbed of Eagle Ridge Place which provides access to 81 Eagle Ridge Place and the slide encroaches into the rear yard of 60 Eagle Ridge Place. The GHAD engaged a contractor to work with the District to design a cost effective method to stabilize the upper zone of the slide mass that lies within the District boundary. Because of the urgency to complete this repair the General Manager designated the project an"emergency repair" and selected an experienced contractor capable of constructing the large diameter piers at the restricted access location downslope along the property line. Previously, in 1993, the GHAD had designed and constructed a retaining structure near the top of the slope adjacent to 81 Deer Ridge Place. The previous repair is also threatened by the movement of the supporting soils in front of the wall. CONSEQUENCES OF NEGATIVE ACTION: Negative action will threaten access to 81 Eagle Ridge Place during the next winter season and may cause further loss of property and diminution of property values. I P t iI 9 l r z CONTRACT Standard Form Construction Agreement r I. SPECIAL TERMS. These special terms are incorporated below by reference. Parties: Public Agency—Blackhawk Geologic Hazard Abatement District' 4 Contractor— Condon—Johnson Associates,Inc. Effective Date: July 24,2006 t Project Name,Number and Location: 1 Completion Time: 50 working days r Public Agency's APgenc Contract Price: $758,164.00 Liquidated Damages: 5400.00 amount per calendar day. Federal Taxpayer's I.D.No_ 2. SIGNATURES &ACKNOWLEDG T. r j Public.Agency,B_ General Matuiger By. j Contrteror, hereby alscrtify awareness of and compliance with Labor Code Sections 1861 and 3700 concerning Workers'Compensau) Law, GERARD J. CONDON By: x PA �Nr (De gru official capaut'r to tlia`busincss) JEREMY CONI-3. ON By: X � SECRETARY (D ignate official capacity in the business) Not to Contractor: for corporations,two officers must sign the contract. The first signature must be that of the chairman of th'e board, president or vice president;the second signature must be that of the secretary, assistant secretary,chief financial officer or assistant treasurer. (Civil Code, Section 1190 and Corporations Code,Section 313.) A Notary Public must sign the acknowledgment below. i I CERTIFICATE OF ACKNOWLEDGMENT State'of California ) ss. County of � /al �z,; ) On the date written below, before me, die undersigned Notary Public, personally appeared the person(s) signing above for Contractor. personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose iantt(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/tier/their authorized capacity(ies), and that by his/her/their signaturc(s) on the instrument the person(s), or the entity upon behalf of which the persons)acted,executed the instrument. witi'NESS my hand and official seat. Dated: ,} ,(.(1_� (Notary's Seal) f j f • CYNTHIA J. LA CROIX (No'ry Public) ✓ �i���/C'.� a, s COMM. # 1563112 v t m x NOTARY PUBLIC-CAOFORNIA ( ALAMEDA COUNTY 4 ,, ,� ,ires�March22,2009 Kleinfelder,file. 1 81/60 Eagle Ridge Place Landslide Repair Project Gert Z. hlanaecr t g3 1 t 1 3. WORK CONTRACT CHANGES. (a)By their signatures in Section 2,effective on the above date,these parties promise and agree as set forth in this contract,incorporating by these references the material in Section 1,SPECIAL TERN-IS. (b)Contractor shall,al his own cost and expense,and in a workmanlike manner,fully and faithfully perform and complete the work;and will furnish all materials,labor, services and transportation necessary,convenient an'd proper in order fairly to perform the requirements of this contract, all strictly in accordance with the. Public Agency's plans, drawings and specifications and in accordance with the accepted proposal. (c)The work can be changed only with Public Agenev's prior written order specifying such change and its coat agreed to by the patties; and the Public Agency shall never have to pay more than specified in Section 9,PAYMENT,without such an order. 4. TIME;NOTICE TO PROCEED. Contractor shall.Mart this work as directed in the specifications or the Notice to Proceed;and shall cautplctc it as specified in Section I,SPECIAL TERMS. 5. LIQUIDATED DAMAGES. If the Contractor fails to complete this contract and this work within the time fixed therefor,allowance beim made for contingencies as provided herein, he becomes liable to the Public Agency for all its loss and damage therefrom; and because.from the nature of the case,it is and will be inyrracbcable and extremely difficult to ascertain and fix the Public Agency's actual dannicc from any delay in performance hereof, it is agreed that Contractor will pay as liquidated damages to the Public Agency the reasonable sum specified in Section 1, SPECIAL 'PERMS, the result of the parties reasonable endeavor to estimate fair average compensation therefor, for each calendar day's delay in finishing said work;and if tic same be not paid,Public Agency may,in addition to itsrother remedies,deduct the sante from any money due or to become due Contractor under this contract. If rine Public Agency for any cause authorizes or contributes to a delay,suspension of work or extension of time, its duration shall be added to the time allowed for E completion, but it shall not be deemed a waiver nor be used to defeat any right of the Agency to damages for non-completion or delay hereunder. Pursuant to Government Code Section 4215,the Contractor shall not be assessed liquidated damages for delay in completion Of Ill work,when such delay was Caused by the failure of the Public Agency or the owner of a utility to provide lot-removal or relocation of existing utility facilities. 6. wmc—,RATED DOCUMENTS. The plans, drawings and specifications or special provisions of the Public Agency's call for proposals,and Contractor's accepted proposal for this work arc hereby incorporated into this contract;and thev are intended to cooperate, so that anything exhibited in the plans or drawings and not mentioned in the specifications or special provisions,or vice versa, is to be executed as if exhibited, mentioned and set forth in both,to the true intent and meaning thereol when taken all together;and differences of opinion concerning these shall be finally determined by Public Agency's Agent specified in Section 1,SPECIAL TERMS. 7. PAYMENT. (a) For his strict and literal fulfillment of these promises and conditions,and as full compensation for all this work, tie Public Agencv shall pay the Contractor ala soon specified in Section 9,PAYMENTS.except that in unit price contracts that pavmcnt shallibe for finished quantities at unit proposal prices. (b) The Contractor shall be paid for all work done through the 25th of the preceding calendar month. as determined by Public Agency,minus 10%thereof,but not until defective work and materials have been removed,replaced,and made good. $. iPAYN1 EN'I:S WITHHELD. (a) The Public Agency or its Agent may withhold any payment, or because of later discovered evidence nullify all or any certificate for payment, to such extent and period of lime only as may be necessary to protect the Public Agency from loss because of: (1) Defective work not remedied,or-uncompleted work.or (2) Claims filed or reasonable evidence indicating probable filing,or (3) Failure to properly pay subcontractors or for material or labor,or (4) Reasonable doubt that the work can be completed for the balance then unpaid,or (5) Damage to another contractor,or (6) Damage to the Public Agency,other than damage due to delays. (b)The Public Agency shall use reasonable diligence to discover and report to the Contractor,as the work progresses, the materials Lind labor which are not satisfactory to it,so as to avoid unnecessary trouble or cost to the Conu-actor in making good any defective work or parts. (c) 35 calendar days after the Public Agency files its notice of completion of the entire work, it shall issue a certificate to the Contactor and may pay the balance of the contract price after deducting all amounts withheld under this contract, provided the contractor shows that all claims for labor and materials have been paid,no claims have been presented to the Public Agency based on acts or omissions of the Contractor,and no liens or withhold notices have been filed against the work or site,and provided there are riot reasonable indications of defective or missing work or of laic-recorded notices of liens or claims against Contractor. 9. INSURANCE. (Labor Code Secs. 1560-61) On signing this contract. Contractor must give Public Agency (1) a certificate of consent to self-insure issued by the Director of industrial Relations,or (2) a certificate of Workers'Compensation insurance issued by an a{'lmiucd insurer, or (3) an exact copy of duplicate thereof certified by the Director or the insurer. Contractor is aware of and conplies with labor Code Section 3700 and the Workers' Compensation Law. Said certificates shall name those entities or individuals listed in Section 6-1.01 of the Special Provisions. lo. BONDS. On signing this contract Contractor shall deliver to Public Agency for approval good and sufficient bonds with sureties,in wnount(s)specified in the specifications or special provisions,guaranteeing his faithful performance of this contract and his payment for all Libor and materials hereunder, 11. FAILURE TO PERFORM. if the Contractor at any time refuses or neglects, without fault of the Public Agency or its agent(s),to supply sufficient materials or workman to complete this agreement.and work as provided herein,for a period of 10 days or more after written notice thereof by the Public Agency, the Public Agency may furnish same and deduct the reasonable expenses thcrcof from the v contract price. 12. Ij AW S APPLY. General. Both partics recognize the applicability of various federal,state and local laws and regulations,especially Chap er I of Part 7 of the California Labor Code (beginning with Section 1720, and including Sections 1735, 17775, and 1777.6 forbidding discrimination)and intend that this agreement complies therewith. The parties specifically stipulate that the relevant pcnaltic.i R4 Klei nfeller,Inc. 2 81/60 Eagle Ridge Place Landslide Repair Project Cicne}ral Manager E 3 ( 1 i I ti. r# t r and Rxfeiuu'es provided in the Labor Code,especially in Sections 1775 and 1813,concerning prevailing wages and hours,shall apply to this agrecnhent a,though fully stipulated herein. 13. SUBCONTRACTORS Public Contract Code Sections 4100-4114 are incorporated herein. 1=4_MAGE- RATES. (a) Pursuant to Labor Code Section 1773,the Director of the Department of Industrial Relations has ascertained the eeneral prevailing rates of wages per diem,and for holiday and overtime work,in the locality in which this work is to be performed, for each crali,classification,or type of workman needed to exca.ttc this contract,and said rates are as specified in the call for bids for this work and are on file with the Public Agcncy,and are hereby incorporated herein. (b) This schedule of wages is based on a working clay of 8 hours unless otherwise specified; and the daily rate is the hourly rate multiplied by the number of hours constituting the working day. When less than that number of hours are worked,the daily wage rate is proportionately reduced,but the hourly rate remains as staled. (c) IThe Contactor,and all his subcontractors,must pay at least these rates to all persons of this work,including all travel,subsistence, and frinve benefit payments provided f'or by applicable collective bargaining agreenlena, All skilled labor not listed above must he paid at least the wage scale established by collective bargaining agreement for such labor in the locality where such work is being performed. If it becomes necessary for the Contractor or any subconn-actor to employ any person in a craft,classification or type of work(except executive, supervisory,administrative,clerical or other non-manual workers as such)for which no minimum wage rate is specified,the Contractor shall immediately notify the Public Agency which shall apply from the time of the initial employment of the person affected and during the continuance of such employment. 15. HOURS OF LABOR Eight hour's of labor in one calendar day constitutes a legal day's work,and no workman employed at any time on this work by the Contractor or by anv subcontractor shrill be required or permitted to work longer thereon except as provided in Labor Code Sections 1810-1815. 16. APPRFN"FQHS Property indentured apprentices may be employed oil this work in accordance with Labor Code Sections 1777.5 and 1777.6,forbidding discrimination. 17. DESIRE TO PROMOTE ECONOMY OF CONTRA COSTA. The Public Agency desires to promote the industries and economy of Contra Costa County,and the Contractor therefor is encouraged to use the products,workmen, laborers and mechanics of this County in every case where the price,fitness and quality are equal. 18. ASSIGNMENT The agreement binds the heirs,successors,assigns,and representatives of the Contractor;hill he cannot assign it in whole or in part, nor any monies due or to become due under it, without the prior written consent of the Public Agency and the Contractor's surety or sureties,unless they have waived notice of assignnhent. 19. SO WAIVER BY PUBLIC AGENCY. Inspection of the work and/or materials,or approval of work and/or materials inspected,or statement by any officer,agent or employee of the Public Agency indicating the work or any part thereof complies with the requirements of Pyutents therefor, or any combination of these acts, shall not relieve the Contractor of his obligation to fulfill this contract as prescribed; nor shall the Public Agcncy be thereby estopped from bringing any action for damages or enforcement arising from the failure to comply with any of the teens and conditions hereof. 20. HOLD HARMLESS AND INDEMNITY. (a) Contractor promises to and shall hold harmless and indemnify frons the liabilities as defined in this section. (b)i 'file indemnities benefited and protected by this promise are those entities and individuals listed in Section 6-1.O1 of the Special Provisions. (0The liabilities protected against are any liability or claire for damage of any kind allegedly suffered,incurred or threatened because of actions defined below,including but not limited to personal injury,death,property damage,,nuisance,or any combination of these, regardless of whether or not such liability, claim or damage was unforeseeable at any little before the Public Agency approved the improvement plans or accepted the improvements as completed, and including the defense of any suit(s)or action(s) at law or equity concerning these, (d)'The actions causing liability are any act or omission in connection with the matters covered by this contract and attributable to the contractor,subcontracmr(s),or any officer(s),agent(s)or employee(s)of one or more of them. (e)9Non-Conditions: The promise and agreement in this section is not conditioned or dependent on whether or not any indemnitee has prepared, supplied, nr approved any plan(s), drawing(s), specification(s) or special provision(s) in connection with this work, has insurance or other indemnification covering any of these maters,or that the alleged damage resulted partly from any negligent or willful misconduct of any Indemnitee. 21. EXCAVATION. Contractor shall comply with the provisions of Labor Cotte Section 6705, if applicable,by submitting to Public Agency a detailed plan showing the design of shoring,bracing,sloping,or other provisions to be made for worker protection from the hazald of caving ground during trench excavation. 22,RF..CORD RETENTION. Except for records delivered to Public Agency.Contractor shall retain,for a period of at least five years after,'Contractor's receipt of tine final payment under this contract, all records prepared in the performance of this contract or otherwise pertaining to the wok, including without limitation bidding,financial and payroll records. Upon request by Public Agency,Contractor shalfi make such records available to Public Agency, or to authorized representatives of the state and federal governments, at no additional charge and without restriction or limitation on their use. 23. CONFLICT WITH BID. It is further expressly agreed by and between the parties hercto that should there be any conflict between the terms of this contract and the proposal of said Contractor,then this contract shall control and nothing herein shall be considered as an accepeuce of said terms of said proposal conflicting hercwidl. 24. USE OF PRIVATE PROPERTY. Contractor shall not use private property for any purpose in connection with the work absent a prior,written agreement with the affected property owncr(s). RFNTAL AND WAGE RATES. The statement of prevailing wages appearing in the Equipment Rental Rates and General Prevailing Wage Rates is hereby specifically referred to and by this reference is made a partof this contract. 1 r I Ktcinfelder,Inc. 3 81160 Eagle Ridge Place Landslide Repair Pio.ICCt Gelhel'$l Manager e 8 t F t f f -a H Ci I/lfAl VER I IFIV/""��E',� )F LIABILI����Y INSURANC6n'� OP ID $ DATE(MM/DD/VYYY) CONDONI 07/27/06 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Gallagher Construction ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Services HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 580 California St. , Suite 1200 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. San Francisco CA 94104-1098 1 Phone: 800-500-7202 Fax:415-391-1882 INSURERS AFFORDING COVERAGE NAIC# INSURED 9 INSURER A: Zurich American Insurance Co. f — - INSURERB: IRS Co Of the State of PA _ Condon-Johnson Fc INSURER C: Ass'ociatesLL Inc. P.O. BOX 1L368 INSURER D: Oakland, CA 94604 -------..----.-.- - y INSURER E. COVERAGES t THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE)NSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADl'11-1--- POLICY EFFECTIVEO EXPIRATib� LTR INSRO TYPE OF INSURANCE POLICY NUMBER DATE(MMIDD/YY) I DATE MWDD/YY LIMITS GENERALILIABILITY EACH OCCURRENCE S 1,000,000 S AMAGGTOZZENTEiT—'---' A X COMMERCIAL GENERAL LIABILITY GL09373727-03 05/01/06 05/01/07 PREMISES(Ed occurence) S 300,000 CLAIMS MADE LX IOCCUR MED EXP(Any one person) _�$ 5,000 X X jC.U. INCLUDED PERSONAL&ADV INJURY $1,000,000 J i GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: I PRODUCTS-COMP/OP AGG S 2,000,000 POLICY X PRECTO JLOC AUTOMOBILE LIABILITY I COMBINED SINGLE LIMIT S 1,000,000 A X ANY AUTO BAP9373728-03 05/01/06 05/01/07 (Ea accident) ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ X HIRED AUTOS BODILY INJURY li I,II X ! NON'OWNED AUTOS (Per accident) S PROPERTY DAMAGE $ (Per accident) j GARAGE LIABILITY j AUTO ONLY-FA ACCIDENT S ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG S EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ 1,000,000 $ X OCCUR CLAIMS MADE 8766704 05/01/06 ; 05/01/07 AGGREGATE S 1,000,000 B X] 6 IS DEDUCTIBLE $ ............. 1 ..._.__.__............._.._..... .-. RETENTION I S WORKERS COMPENSATION AND ( X�TORV LIMITS ETR' _ EMPLOYERS'LIABILITY I — A WC9373729-03 05/01/06 05/01/07 E.L.EACH ACCIDENT s 1,000,OOU ANY PROPRIETOk/PARTNER/9XECUTIVE ..._ —_- OFFIGER/MEMBEREXCLUDED? E.L.DISEASE-EA EMPLOYE S1,000,000 1(yyes,describe under ---"`---""'-"' ------ --- SPECIALPROVISIONS below � E.L.DISEASE-POLICY LIMIT S1,000,000 OTHER 4 i DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS GENERAL LIABILITYs Blackhawk Geologic Hazard Abatement District; Contra Costa County; Kleinfelder, Inc. , Sands Construction Company, Inc.; Kenneth Behring (homeowner at 81 Eagle Ridge) ; Krishan and Satya Kalra (homeowner at 81 Eagle Rifdge) (SEE NEXT PAGE) RE: 81/60 Eagle Ridge Landslide Repair project, CJAI Job #0627 * 10 day notice for nonpayment of premium a CERTIFICATE HOLDER CANCELLATION 1 BLACRH2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Blackhawk Geologic Hazard DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYSWRITTEN Abatement Dist.c/o Kleinfelder NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Inc!, .Suite 103 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR 4125 Blackhawk Plaza Circle, Danville, CA 94506 REPRESENTATIVES. TORIZED REAR S TATIVE W I ACORD 25(2001/08) ©ACORD CORPORATION 1988 !If 1 f rrrc 3h ,„5b s« g i. R 7 irk!, s.c 1 S ar fr ,k 7i1. £ e p t 1irR X y ro uak i5p f 'kk w3 Sir :red'. 'c:n 'r'x4 !�� 11���� 'r3 4H&DER CidDESa ,L7iC'IZHZ =' `Y "'u: ° sna+' 'r1 r C ` t3'.�.'� OHI yi°g^'tUYtrirr""vx 4�+, .n.PAGE-62 `7 id ..�n ' �' y a' INSUREDS NAME ,iondon Johnson F& > OP ID SO _� „ DATE p7 f 27/06 5,.. �' "tau ..,:a.,•� t x, r -{{ m, am+: rive n3vsi :'.w ..r �tx.,y.'. , ,# :f x,.ytr' .,.w...�ky.,.L� «Ays ._.Lw{.�`•$at ''..Ri9! ,syu :rl5 are named Sas Additional Insureds per attached endorsement. S a i s 'r 6 i jk {{1 1 i i { t i f E� G l I r k p4 S { tE `E f 1 5 { 1 I 14 !1 €tj `k t i i' Additional insured — Automatic - Owners, Lessees Or ZURIC,H. Contractors - Broad Form Policy N=ff. Date of Pol. Exp. Date of Pol. Eff.'Date of End. Producer Add],Prem Return Prem. GL09373727-03 05/01/06 05/01/07 05/01/06 5 s THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: CommeI cial General Liability Coverage Part € k A. WHO IS AN INSURED(Section I1)is amended to include as an insured any person or organization whom you are required to add as an additional insured on this policy under a written contract or written agreement. B. The insurance provided to additional insureds applies only to"bodily injury", "property damage" or"personal and advertis- ing injury" covered under Section 1, Coverage A, BODILY INJURY AND PROPERTY DAMAGE LIABILITY and Coverage B, PERSONAL AND ADVERTISING INJURY LIABILITY,but only if: L The"bodily injury"or "property damage"results from your negligence;and i k 2. The"bodily injury", "property damage" or"personal and advertising injury" results directly from: Ia. Your ongoing operations;or b. "Your work"completed as included in the"products-completed operations hazard", t {performed for the additional insured,which is the subject of the written contract or written agreement. k E C. However,regardless of the provisions of paragraphs A. and B. above: 1. We will not extend any insurance coverage to any additional insured person or organization: 3 !a. That is not provided to you in this policy;or 9 i ib. That is any broader coverage than you are required to provide to the additional insured person or organization in the written contract or written agreement;and 2. '';We will not provide Limits of Insurance to any additional insured person or organization that exceed the lower of: i a. The Limits of Insurance provided to you in this policy;or b. The Limits of Insurance you are required to provide in the written contract or written agreement. D. The,insurance provided to the additional insured person or organization does not apply to: I 1. 1"Bodily injury', "property damage"or"personal and advertising injury' that results solely from negligence of the addi- tionalinsured; or 12. `Bodily injury', "property damage" or "personal and advertising injury' arising out of the rendering of failure to I render any professional architectural, engineering or surveying services including: s U-GL-1175-A C W(9/03) Page I of 2 Includes copyrighted material of Insurance Services Office,Inc.with its permission. I a. The preparing,approving,or failing to prepare or approve maps,shop drawings,opinions,reports,surveys, field orders,change orders or drawings and specifications;and b. Supervisory, inspection, architectural or engineering activities. E. The additional insured must see to it that: I €We are notified as soon as practicable of an`occurrence"or offense that may result in a claim: t 2. (j We receive written notice of a claim or"suit"as soon as practicable;and 3. !A request for defense and indemnity of the claim or"suit'will promptly be brought against any policy issued by an- other insurer under which the additional insured also has rights as an insured or additional insured. F. The insurance provided by this endorsement is primary insurance and we will not seek contribution from any other in- surance available to any additional insured person or organization unless the other insurance is provided by a contractor other than you for the same operations and job location. Then we will share with that other insurance by the method de- scribed in paragraph 4.c. of SECTION IV-COMMERCIAL GENERAL LIABILITY CONDITIONS. Any provisions in this Coverage Part not changed by the terms and conditions of this endorsement continue to apply as writ- ten. f i E i 3 € i i 1 i I i i i {#F 1 E!i 1 i t( i I i I3 i i i i U-GL-1175-A CJW(9/03) Page 2 of 2 S I E Contra Costa County , r Self Certification Form Small Business Enterprise and Outreach Programs ^fr m i l All of the�non-statistical information provided in SECTION 1 will be included in the County's SBE and Outreach Directory, which may be shared with County Departments, contractors, consultants, and others in both electronic (internet, intranet, e-mail, facsimile) and paper formats, unless you indicate otherwise in SECTION 5. P ECTION(l Name of Pu[111(P] (LONDON-JOHNSON&ASRSOCIATES,INC. Street.Address(City,State) ` p Co l7 Z� i 4 0 RDLAND WAY 5 Ui .2 0e) 0AKLAN (Zi `4 Mailing Address(City,State) (Zip Code) .o. r3ox 12-3 0,4kLANL 04 Cl 4.604 (Area Code)Phone No. (Area Code)Fax'No. E-mail 50 - 103(0' 210 0 510 -3/0 k-93J to Is your main office located in Contra Costa County'? Yes Q,t No NI Business Entity Status Check all appropriate boxes: MBE ❑ WBE ❑ DBI: ❑ SBE ❑ LBE ❑ DVBE ❑ OBE ❑ See Pale 3 For Definitions) NONE For Statistical Purposes Only Ethnicity ofOwner(s): White ® Black ❑ Hispanic ❑ Asian ❑ American [radian/Alaskan Native ❑ i SECT10N(21 Complete this section to certify as a Small Business Enterprise. (See Page 3 for Definitions) State Certified SBE: Yes No Certification No.: Have your-gross receipts for the past three years averaged$10 million or less Do you employ more than 100 employees together Yes No with affiliates? Yes No k your principal office located in California? Yes ❑ No ❑ The officers reside in California? Yes 0 No ❑ ECTIONI3 Complete this section to certify as a Minority Business Enterprise (MBE)and/or Woman Business Enterprise(WBE) and/or Disabled Veteran Business Enterprise(DVBE) (See Page 3 for Definitions) NoN6 Check appropriate box: Contractor® Special Trade Contractor® Trucker ❑ Manufacturer❑ Construction Supplier❑ Vendor❑ Consultant/Service Provider ❑ Are you certified with any other agencies: Yes No CITY O F 6, k'L{}N b — L ISL If"Yes"please list: j pOa,-r OF 01190A-Nn- 41A6E If you are a,Contractor,are your annual gross receipts fourteen million dollars(514,000,000)or less? Yes No I I f you are aE4Special Trade Contractor,are your annual gross receipts seven million dollars(57,000,000)or less'? Yes E15 No [K.� Ifyou are I"I'ruelcer/Manufacturer/Supplier/Vendor,do you meet the SBA size standard? Yes No (Por the s ecific SBA size standard contact the Affirmative Action Office,(925)335-1045) Is your firm 51%owned and managed by oue or more minority owners? Yes Lji No Is your fine 51%owned and managed by one or more women owners? Yes ❑ No E Is your firm 51%owned and managed by one or more disabled veteran owners? Yes ❑ No s Are the owners citizens or lawful permanent residents of the U.S,? Yes 4k No E If you are aIDVBE,is your principal office located in the United States? Yes ❑ No ❑ i As a DV BE,do you reside in California? Yes ❑ No ❑ NIA Revised 09/10/04 a:SBEOutreachSelfCertitication See Other Side Page I of 3 i Contra Costa County Small Business Enterprise and Outreach Programs Self Certification Form SLCTION Work Conducted By Firm(Describe what your firm does.) co„�tNction C2ENEPAL E N CONSTP tkCT)& N oN7R A C-T-0 ?. t Vendor/supplies i Cons6lt(IOt/ Service Provider I SFCTION§t AcknowledgementofPublicstiop The undersigned acknowledges and agrees that the non-statistical information provided in SECTION I may be published in the County's SBE and Outreach Directory which may be shared with County Departments,contractors,consultants,and others in both electronic (internet,intranet,e-mail, facsimile)and paper formats,unless exceptions are noted below. ❑ It agree to publication of all SECTION 1 information. ❑ 11 do not agree to publication of the following(check all that apply): ❑ Street Address ❑ Phone Number ❑ E-mail Address ❑ Mailing Address ❑ Fax Number ❑ Business Entity Status FC PION Certification of Ownership The undersigned is authorized to execute this Self Certification form on behalf of _ Name of Firm Street Address(City,State,Zip Code) Name(s)of Owner(s) And swearsunder penalty of perjury that our firm meets the definition of MBE, WBF,DBE, SBE,LBE,DVBE,and/or OBE set forth oil page 3 of this form and that all information contained in this form is true and correct.Any material misrepresentation will be grounds for terminating any purchase orders or contracts which may be or have been awarded. l Signed in 11 MAI e. AA) 4LX MELS ,4 CO_ (City,County,State) Oil ;,12�0 ,200 By G J. CONDON Signature Area Code Phone No. Return t is Self-Certification Form to the department who sent you this form or: Contra Costa County Affirmative Action Office 651 Pine Street—10°i Floor Martinez,CA 94553 l x x xaa<.a s x ax K,t x tr;. xx e,:x r�,ta :i'or lle tartmeut Use OulyaxrxF+� naxxKaw:« x w++r. :c x o++ =+ LCTIONt Departmental Concurrence i The undersigned department concurs in the above Self-Certification form and is satisfied that the applicant meets the requirements for self certification as an MBE,WBE,DBE,SBE,LBE,DVBE,and/or OBE. By (Print Name) (Department) (Signature of Department Head or Deputy) (Area Code) Phone No. Date i l Revised 09/,10/04 a:SBEOuureachSelfCertification See Other Side Page 2 o£3 i f c Form W=9 Request for Taxpayer Give form to the (Rev.Novt mber 2005) Identification Number and Certification requester. Do not Utlpartment pt the Treasury send to the IRS. Inernal Revenue Service N Name(as shown on your Income tax return) m Condon—Johnson_& Associates, Inc. o- Business name,if different from above c w o i o.o ' Individual/ Exempt from backu �� Check appropriate box: Sole proprietor Corporation C] Parnership El Other ► ....._.._.._.._. ❑ withholding p o Address(number,street,and apt,or suite no.) Requester's name and address(optiona0 a ; Surae 200 480 Roland Way, City,state,and 71P code y ;Oakland, CA 94621 List account numbers)here(optional) Taxpayer Identification Number (TIN) Enter yoiur TIN in the appropriate box.The TIN provided must match the name given on Line 1 to avoid soda)severity number backup withholding. For individuals, this Is your social security number(SSN).However,for a resident alien,sole proprietor, or disregarded entity,see the Part I instructions on page 3. For other entities, it is your employer identification number(EIN). It you do not have a number, see How to get a TIN on page 3. or Note.If the account is in more than one name, see the chart on page 4 for guidelines on whose Employer identification number numberito enter. 19 1412 12 14 18 16 19 14 Certification Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number(or I am waiting for a number to be issued to me),and 2. 1 ani riot subject to backup withholding because: (a)I am exempt from backup withholding, or(b)I have not been notified by the Internal Revenue Service(IRS)that I am subject to backup withholding as a result of a failure to report all interest or dividends, or(c)the IRS has notified me that I am no longer subject to backup withholding, and 3. 1 amia U.S.person(including a U.S. resident alien). Certification instructions.You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid,acquisition or abandonment of secured property, cancellation of debt,contributions to an individual retirement arrangement(IRA), and generally, payments other than interest and dividends,you are not required to sign the Certification, but you must provide your correct TIN. (See the instructions on page 4.) Sign Signature of fJxJ y 7/ /� Here U.S.person b- L ^ Date 4 6 U� Purpose of FOC a An individual who is a citizen or resident of the United A person who is required to file an information return with the States, IRS, must obtain your correct taxpayer identification number a A partnership, corporation, company, or association (TIN)to report, for example, incorne paid to you, real estate created or organized in the United States or under the laws transactions, mortgage interest you paid, acquisition or of the United States, or abandonment of secured property, cancellation of debt, or o Any estate (other than a foreign estate)or trust. See contributions you made to an IRA. Regulations sections 301.7701-6(a) and 7(a)for additional U.S. person.Use Form W-9 only if you are a U.S. person information. (including a resident alien), to provide your correct TIN to the Special rules for partnerships.Partnerships that conduct a person'requesting it (the requester) and, when applicable, to: trade or business in the United States are generally required 1. Certify that the TIN you are giving is correct (or you are to pay a withholding tax on any foreign partners' share of waiting`for a number to be issued), income frorn such business. Further, in certain cases where a 2. Certify that you are not subject to backup withholding, or Form W-9 has not been received, a partnership is required to 3. Claim exemption from backup withholding if you are a presume that a partner a foreign person, and pay the U.S. exempt payee. withholding tax.Therefore, if you are a U.S. person that is a partner in a partnership conducting a trade or business in the In 3 above, if applicable, you are also certifying that as a United States, provide Form W-9 to the partnership to U.S. person, your allocable share of any partnership income establish your U.S. status and avoid withholding on your from a;U.S.trade or business is not subject to the share of partnership income. withholding tax on foreign partners' share of effectively connected income. The person who gives form W-9 to the partnership for r purposes of establishing its U.S.status and avoiding Note. If a requester gives you a form other than Form VV-9 to withholding on its allocable share of net income from the request your TIN, you must use the requesters form if it is partnership conducting a trade or business in the United substantially similar to this Form W-9. States is in the following cases: For federal tax purposes,you are considered a person if you a The U.S. owner of a disregarded entity and riot the entity, are: I I Cat,No.10231X Form W-9 (Rev.11-2005) i i z i I r p, Form ® Request for Taxpayer Give form to the (Rev.November 20057 requester. Do not UeUartmeni Identification Number and Certification ai the Treasury send to the IRS. Internal Revenue service Name(as shown on your income tax return) M lCondon-Johnson & Associates, Inc. p- t Business name,If different from above c 0 d � o,o Individual/ Exempt from backup Check appropriato box: ❑ Sole proprietor ® Corporation '❑ Farnership ❑ Other ................. ❑ withholding o ,..y Address(number,street,and apt.or suite no.) Requester's name and address(optional) 480 Roland Way, Suite 200 City,state,and ZIP code a ;Oakland, CA 94621 N List account numbers here(optional) � d phonal) to Taxpayer Identification Number (TIN) Enter yo ur TIN in the appropriate box.The TIN provided must match the name given on Line 1 to avoid Social security number backup;withholding. For individuals, this is your social security number(SSN).However,for a resident ���.� alien, sole proprietor,or disregarded entity, see the Part I instructions on page 3.For other entities, it is your employer identification number(EIN). If you do not have a number,see How to get a TIN on page 3. or Note.If the account is in more than one name, see the chart on page 4 for guidelines on whose Employer identification number ilumberito enter. j 9 1 4 1-212 4 $ 6 9 4 Certification Under penalties of perjury, I certify that: 1. The'number shown on this form is my correct taxpayer identification number(or I am waiting for a number to be issued to me),and 2. 1 ani riot subject to backup withholding because:(a)I am exempt from backup withholding, or(b)I have not been notified by the Internal Revenue Service(IRS)that I am subject to backup withholding as a result of a failure to report all interest or dividends,or(c)the IRS has notified me that I am no longer subject to backup withholding,and 3. I am):a U.S.person pncluding a U.S. resident alien). Certification instructions.You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions,item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt,contributions to an individual retirement arrangement(IRA), and generally, payments other than interest and dividends,you are not required to sign the Certification, but you must provide your correct TIN. (See the instructions on page 4.) Sign Signature of /y✓�J� y Here j U. person � � L ^� � Date ► Purpose of Forl a Alt individual who is a citizen or resident of the United A person who is required to file an information return with the States, IRS, must obtain your correct taxpayer identification number a A partnership, corporation, company, or association (TIN) to report, for example, income paid to you, real estate created or organized in the United States or under the laws transactions, mortgage interest you paid, acquisition or of the United States, or abandonment of secured property, cancellation of debt, or o Any estate(other than a foreign estate) or trust. See contributions you made to an IRA. Regulations sections 301.7701-6(a) and 7(a)for additional U.S. person.Use Form W-9 only if you are a U.S. person information. (including a resident alien),to provide your correct TIN to the Special rules for partnerships.Partnerships that conduct a personirequesting it(the requester) and, when applicable,to: trade or business in the United States are generally required 1. Certify that the TIN you are giving is correct(or you are to pay a withholding tax on any foreign partners' share of waiting for a number to be issued), income from such business. Further, in certain cases where a 2. Ce ify that you are not subject to backup withholding, or Form W-9 has not been received, a partnership is required to 3. Claim exemption from backup withholding if you are a Presume that a partner is a foreign person, and pay the withholding tax.Therefore, if you are a U.S. person that is a U.S. exempt payee. partner in a partnership conducting a trade or business in the In 3 above, if applicable, you are also certifying that as a United States, provide Form W-9 to the partnership to U.S. person, your allocable share of any partnership income establish your U.S. status and avoid withholding on your from alU.S. trade or business is not subject to the share of partnership income. withholding tax on foreign partners' share of effectively connected income. The person who gives Form W-9 to the partnership for purposes of establishing its U.S.status and avoiding Note. If a requester gives you a form other than Form W-9 to withholding on its allocable share of net income from the equest your TIN, you must use the requester's form if it is partnership conducting a trade or business in the United substantially similar to this Form W-9. States is Ili the following cases: For federal tax purposes,you are considered a person if you o The U.S. owner of a disregarded entity and not the entity, are: } Cal.No.10231X Fon W-9 (Rev.11-2005) I i 9 I Contra Costa County Self Certification Form Small Business Enterprise and Outreach Programs 1 All of theinon-statistical information provided in SECTION 1 will be included in the County's SBE and Outreach Directory, which may be shared with County Departments, contractors, consultants, and others in both electronic (internet, intranet, e-mail, facsimile) and paper formats, unless you indicate otherwise in SECTION 5. i ECTIONh Name of Frim(Print) i CONDON-JOHNSON&ASSOCIATES.INC. Street Addfe4fss(City,State) -•__ 5 (Zip Code) I 0 RDLANb WAY Gt 20d OAXLAN 1461/ Mailing Address(City,State) (Zip Code) .0, 60X 123 0AkLA-Nb. 04 C1 4-6 O 4 (Area Code)Phone No. (Area Code) Fax No. E-mail i 5/0 - 1a 36' 2 0 0 510 -.5 to Is your main office located in Contra Costa County? Yes No Ri t Business Entity Status Check all aNpropriate boxes: MBE ❑ WBE ❑ DBL ❑ SBE ❑ LBE ❑ DVBE ❑ OBE ❑ See Page 3 For Definitions) wNE For Statistical Purposes Only Ethnicity ofOw-ner(s): White ® Black ❑ Hispanic ❑ Asian ❑ American Indian/Alaskan Native ❑ i S46C"PION121 Complete this section to certify as a Small Business Enterprise. (See Page 3 for Definitions) State Certified SBE: Yes No Certification No.: Have your gross receipts for the past three years averaged$10 million or less Do you employ more than 100 employees together er year? I Yes 11! No U I with affiliates? Yes No Is your principal office located in California? Yes ® No ❑ c The officers` reside in California? Yes ® No ❑ ECTIONf3 Complete this section to certify as a Minority Business Enterprise (MBE)and/or Woman Business I Enterprise(WBE) and/or Disabled Veteran Business Enterprise(DVBE) (See Page 3 for Definitions) NoN� Check appropriate box: Contractor® Special Trade Contractor® Trucker ❑ Manufacturer Cl Construction Supplier❑ Vendor❑ Consultant/Service Provider ❑ Are you certified with any other agencies: Yes No C I7 Y or OAKL AN b — L i3 G If"Yes"please list: p0 t2-1- OF ©A K L) -N p- .t_iAl3 rc If you are a[Contractor,are vour amoral gross receipts fourteen million dollars($14,000,000)or less'? Yes [ No If you are atSpecial Trade Contractor,are your annual gross receipts seven million dollars($7,000,000)or less? Yes �: No If you are ali'rucicer/Manufacturer/Supplier/Vendor,do you meet the SBA size standard? Yes No In (For the specific SBA size standard contact the Affirmative Action Office,(925)335-1045) Is vour firnc 51%owned and managed by one or mm e minority owners? Yes [al No Is your firm 51%owned and managed by one or more women owners? Yes ❑ No Is your firm 51%owned and managed by one or more disabled veteran owners? Yes ❑ No Are the owners citizens or lawful permanent residents of the U.S.? Yes 1K No i If you are a,DVBC,is your principal office located in the United States'? Yes ❑ No ❑ 4 Asa DVBE.do you reside in California? Yes ❑ No ❑ NIA Revised 09/10/04 a:SBEOutrEeachSelfCertitication See Other Side Page I of 3 I 1 G Contra Costa County- Small Business Enterprise and Outreach Programs Self Certification Form I SECTION Work Conducted By Firm(Describe what your firm does.) Cuns[r`ucdon C2ENEPAL E N CONST tkC-r)0NCON-TR Prc`TOR. V endodS uppl ies Consultant/ Service Provider I a ECTION AcknowledgementofPublication The undersigned acknowledges and agrees that the non-statistical information provided in SECTION I may be published in the County's SBE and Outreach Directory which may be shared with County Deparnnems,contractors,consultants,and others in both electronic (internet,in(ranet,e-mail, facsimile,)and paper formats,unless exceptions are noted below. ❑ it agree to publication of all SECTION I information. ❑ 11 do not agree to publication of the following(check all that apply): ❑ Street Address ❑ Phone Number ❑ E-mail Address ❑ Mailin r Address ❑ Fax Number ❑ Business Entity Status i ECT10N Certification of Ownership pji 4 The undersigned is authorized to execute this Self Certification form on behalf of Name of Firm Street Address(City, State,Zip Code) Name(s)of Owner(s) And swearsiunder penalty of perjury that our firm meets the definition of MBE,WBE,DBE, SBE,LBE,DVBE,and/or OBE set forth on page 3 of this form and that all information contained in this form is true and correct.Any material misrepresentation will be grounds for termina,ting any purchase orders or contracts which may be or have been awarded. Signed in l MAI L/+/\/ C�t -- 141LA ME6 14 C0_ on 72& 200 (�_ County,State) By I G J. CONDON nn ej .5`140 -' 6-3r6 - 2/ Signature Area Code Phone No. Return t is Self-Certification Form to the department who sent you this form or: Contra Costa County I Affirmative Action Office 651 Pine Street— 10°i Floor Martinez,CA 94553 ******For De partinent Use Only***;.r* > CTIONi Departmental Concurrence I The undersigned department concurs in the above Self-Certification'Corm and is satisfied that the applicant meets the requirements for self certification as an MBE, WBE,DBE, SBE,LBE,DVBE,and/or OBE. By I (Print Name) (Department) I (Signature of Department Head or Deputy) (.Area Code) Phone No. 1 Date t { Revised 09410/04 a:SI3EOutreachSelfC.ertification See Other Side Page 2 of') 3 i { 5 ACO/aD� CERTIFICATE, )F LIABILITY' INS' URAI'l' OP ID s DATE(MWDD/YYYY) CONDONI 07/27/06 PRODUCER j THIS CERTIFICATE IS ISSUED AS A.MATTER OF INFORMATION Gallagher Construction ONLYAND CONFERS NO RIGHTS UPON THE CERTIFICATE Services ° HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 580 California St. , Suite 1200 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. San Francisco CA 94104-1098 I Phone: 800-500-7202 Fax:415-391-1882 INSURERS AFFORDING COVERAGE NAIC# INSURED i. INSURER A: Zurich American Insurance Co. INSURER e: Ins Cc of the State of PA Condon-Johnson & – — Associates, Inc. INSURER C: P.O. BOX 12368 INSURER D: Oakland, CA 94604 -- ----- __ _ I INSURER E: COVERAGES g THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THEINSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED.BY PAID CLAIMS. INSR ADD' --'- ---""--- POLICY EFFECTIVE IROLTC EXPIRATION LTR INSRD TYPE OF INSURANCE POLICY NUMBER DATE MMiDD/W I DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 0 REN I ED A X COMMERCIAL GENERAL LIABILITY GL09373727-03 05/01/06 05/01/07 PREMIsS(Eaoccurnce) S 300,000 CLAIMSMADE LX I OCCUR MED EXP(Any one person) $ 5,000 X X jC.U. INCLUDED PERSONAL&ADV INJURY $1,000,000 ----------.�__.._...-- ---- --._.. 4 GENERAL AGGREGATE $2,000,000 GEN'L AGGRE�GATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICY IX Ij CT ! ILOC AUTOMOBILE LIABILITY I ', COMBINED SINGLE LIMIT S1,000,000 AX ANY euro BAP9373728-03 05/01/06 05/01/07 (Ea accident) – ALL OWNED AUTOS BODILY INJURY SCHEDULEDAUTOS (Per person) $ .— k X HIREDAUTOS BODILY INJURY S I X i.NON1OWNED AUTOS (Per accident) 1 PROPERTY DAMAGE _ $ (Per act x GARAGE LIABILITY AUTO ONLY-EA ACCIDENT I $ ANY AUTO OTHER THAN EA ACC S AUTO ONLY: AGG S EXCESS/SMBRELLA LIABILITY i EACH OCCURRENCE $ 1,000,000 $ X OCCUR CLAIMS MADE 18766704 05/01/06 I 05/01/07 AGGREGATE S 1,000,000 ! $ DEDUCTIBLE - .......__ $ .._..... ._................._....____._—__..-.._....... . __..._ RETENTION S ! $ WORKERS COMPENSATION AND X TORY LIMITS ER-H-I _ EMPLOYERS'LIABILITY A a ANY PROPRIETOk/PARTNER/EXECUTIVE SVC9373729-03 05/01/06 05/01/07 E.L.L.EACHACCIDENT S1,000,000 -" --- OFFICEWMEMBEREXCLUDED? E.L.DISEASE-EA EMPLOYE- S1,000,000 Ifye s,describe under SPECIALPROVISIONS below E.L.DISEASE-POLICY LIMIT 51,000,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS GENERAL LIABILITY: Blackhawk Geologic Hazard Abatement District; Contra Costa Count Iy; Kleinfelder, Inc., Sands Construction Company, Inc.; Kenneth Behring (homeowner at 81 Eagle Ridge) ; Krishan and Satya Kalra (homeowner at 81 Eagle Ridge) (SEE NEXT PAGE) RE: 81/60 Eagle Ridge Landslide Repair project, CJAI Job #0627 * 10 day notice for nonpayment of premium CERTIFICATE HOLDER CANCELLATION g9 BLACKH2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Blackhawk Geologic Hazard DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYSWRITTEN Abatement Dist.c/o Kleinfelder NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Inc!, suite 103 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR 4125 Blackhawk Plaza Circle, Danville, CA 94506 REPRESENTATIVES. I ES, 4RM TIVE ACORD 25(2001/08) ©ACORD CORPORATION 1988 '. r D - p� � r � "- cHQLDEfYCdDE -2--, ^I,ACICH2„,,,:I�a��`�-'tl°�?�,, �,h�,rw 1��� i 1NSURED,§,N"f, I -�.qudon 3ohn5on !t }# alsy'ash.,:.t...%'", _.,."«.u�^a.d...i.r•.n`n^.'r «a.,+ :?'.us`,`,..'+5 .°r°'SF...c4,W.i;�.:Te.S.a, `l..e ^'f +drw... ,Ai.ti are named as Additional Insureds per attached endorsement. i I 1 i S }a f i S E V s i I I i i s k E i I Additional Insured — Automatic - Owners, Lessees Or ZURICH Contractors - Broad Form PolicyNo. E f. Date of Pot. F_xp. Date of Pot. F,ff.Date of End. Producer Add].Prem Return Prem. GL09373727-03 05/01/06 05/01/07 05/01/06 1 s s i 3 i TIIIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: E Commercial General Liability Coverage Part A. WHO IS AN INSURED(Section II)is amended to include as an insured any person or organization whom you are required to add as an additional insured on this policy under a written contract or written agreement. I B. The-insurance provided to additional insureds applies only to"bodily injury", "property damage" or"personal and advertis- ing!injury" covered under Section 1, Coverage A, BODILY INJURY AND PROPERTY DAMAGE LIABILITY and Coverage B, PERSONAL AND ADVERTISING INJURY LIABILITY,but only if: 3 1. The"bodily injury"or "property damage"resuhs from your negligence;and l 2. j The"bodily injury', "property damage" or"personal and advertising injury"results directly from: a. Your ongoing operations;or rb. "Your work"completed as included in the "products-completed operations hazard", I performed for the additional insured,which is the subject of the written contract or written agreement. I C. However,regardless of the provisions of paragraphs A. and B.above: 1. We will not extend any insurance coverage to any additional insured person or organization: a. That is not provided to you in this policy;or b. That is any broader coverage than you are required to provide to the additional insured person or organization in the [ written contract or written agreement; and 2. 1 We will not provide Limits of Insurance to any additional insured person or organization that exceed the lower of a. The Limits of Insurance provided to you in this policy;or b. The Limits of Insurance you are required to provide in the written contract or written agreement. D. The insurance provided to the additional insured person or organization does not apply to: P 1. 1`Bodily injury', "property damage" or"personal and advertising injury' that results solely from negligence of the addi- 'tional insured;or 2. "Bodily injury', "property damage" or "personal and advertising injury" arising out of the rendering or failure to render any professional architectural,engineering or surveying services including: U-GL-1 175-A CW(9/03) Page I oft Includes copyrighted material of Insurance Services Office,Inc.with its permission. i Ia. The preparing,approving,or failing to prepare orapprovemaps, shop drawings,opinions,reports; surveys, field orders,change orders or drawings and specifications;and ib. Supervisory, inspection,architectural or engineering activities. E. The!additional insured must see to it that: 1. We are notified as soon as practicable of an`occurrence"or offense that may result in a claim: 2. We receive written notice of a claim or"suit'as soon as practicable;and 3. IA request for defense and indemnity of the claim or"suit'will promptly be brought against any policy issued by an- Iother insurer under which the additional insured also has rights as an insured or additional insured. F. The insurance provided by this endorsement is primary insurance and we will not seek contribution from any other in- surance available to any additional insured person or organization unless the other insurance is provided by a contractor other than you for the same operations and job location. Then we will share with that other insurance by the method de- scribed in paragraph 4.c.,of SECTION IV-COMMERCIAL GENERAL LIABILITY CONDITIONS. Any provisions in this Coverage Part not changed by the terms and conditions of this endorsement continue to apply as writ- ten. j I i i g E E s l 4 i i I i i E 1 i (g 7(S O-GL-1175-A C�aW(9/03) Page 2 oft }� i Agenda Date: I O 1 -7 . C) ITEM NO. - o� b CLAIMS (DOCUMENTS ON FILE WITH THE CLERK)